3A
palagyan ng id at name kada form
unknownhtml
2 months ago
8.6 kB
6
Indexable
Never
<form action="" method="post" id="form3A" style="display: none;">
<div class="row mt-3">
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Date</label>
<input type="text" name="" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Page Number</label>
<input type="number" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Book Number</label>
<input type="number" id="simpleinput" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom Name</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride Name</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom Age</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride Age</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom Citizenship</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride Citizenship</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom Civil Status</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride Civil Status</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom's Mother</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride's Mother</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom's Father</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride's Father</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Registry Number</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Date of Registration</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Date of Marriage</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">++
<label for="simpleinput" class="form-label">Place of Marriage</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Amount Paid</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">O.R. Number</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Date Paid</label>
<input type="text" id="simpleinput" class="form-control">
</div>
</div>
</div>
</form>